The Lawn Residential Care Home

Updated 9 March 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was completed by 2 inspectors one of whom was a medicines inspector and an assistant inspector.

Service and service type

The Lawn Residential Care Home is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Lawn Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During and after the site visit we spoke with 5 people, 6 relatives, 8 staff, the registered manager and the care homes director, who was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed 4 people's care records. We also inspected the storage of medicines, reviewed medicines administration records (MARs) and observed part of a medicine’s administration round. We reviewed records relating to the management of the service.

Updated 9 March 2023

About the service

The Lawn Residential Care Home is a residential care home providing personal care to up to 31 people. The service provides support to both older people and younger adults. People may be living with dementia. At the time of our inspection there were 18 people using the service.

People’s experience of using this service and what we found

People were happy with the care they received. Feedback included, “I think it is very good” and, “It’s very friendly it always has been, it’s nice.”

The service had made improvements in relation to the medicines issues identified following the previous inspections. There was evidence of ongoing progress. However, not all of the required medicines information for people was yet fully embedded into their medicines care planning and assessments.

People were safeguarded from the risk of abuse. Staff ensured potential risks to people were identified, and mitigated. Staff reported incidents and any learning was shared. There were sufficient staff to provide people’s care safely. Staff were recruited safely. People were protected from the risk of acquiring an infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s needs were assessed. People’s care was delivered by appropriately trained staff. People were supported to eat and drink enough for their needs. Staff worked with professionals to ensure people’s healthcare needs were identified and met. People had sufficient space and the decoration of the service was under review.

Processes were in place at location and provider level to ensure potential risks and areas for improvement were identified, assessed, addressed and monitored. The registered manager reviewed the culture of the service and led it effectively. Staff worked openly and collaboratively with relevant external stakeholders and agencies.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 22 July 2022).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced focused inspection of this service on 10 June 2022. Six breaches of legal requirements were found. The provider completed an action plan to show what they would do and by when to improve safeguarding and person centred care.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. We also checked whether the Warning Notice we previously served in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. In relation to specific concerns we had about governance. This report only covers our findings in relation to the Key Questions safe, effective and well-led which contain those requirements.

The 3 warning notices served in relation to safe care, equipment safety and nutrition were followed up and found to have been met at a targeted inspection completed on 22 August 2022.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Lawn Residential Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.